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APPLICATION- MINOR SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT . . I ..................... ..................... .. ..... ... .. ..... ............. ........ .. ................... .. .......... .. ... .............. ....... L ............................- ................................. ..... .... .. ..... ....... Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage 17, AO ac 11�61nC71,P7 a16r — 1:a�' -5 56 ac .......... ............ ....... ...... ... ............... . :...............:::::.:::<............. ......... ..... .... .. . -MR-As:VEME -S*--": N NT TA D ..... .. .. ... ... ... ........ ............... .... ......... .... ....... ..........X. ... ..................... ,: ........... ........ ............. ... ............... .. Public Water Service Provider Annex-Formation Distance to Public Existing 0 Required Water(Feet) Proposed 0 Private Water)( Existing Well 0 New Well Well Replacement C1 .................................................................. �: � ..*,*..*. ... ...... .......... ............... ......... :X... . . . ..... . ......... .. ............... .................................... ....... ............... ......................... ... .. ....... ............................................... ......... ........ ..... .......... ...... .. ..... Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing 0 Proposed 0 On-site Sewage Existing Septic System 0 New Septic System Other 0 Disposal . ............ ... .. ... ........... ..... ..... ... ........ . ....... ... ........... ........... ......... ............... ....... ... ......... ...........St01ltt::[3talft!W ............... ............................. Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing 0 Proposed 0 Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change Other 0 Drainage 0 ..... .............................. .............................. ........ ........ ....... ... .... ...... .. .... . .. ....... ... ...... <`....r:::::::::: ........ ........... . ..... .. .............................. Service Provider Distance to Service Service Provider Distance to Service F. C::7, A11,4 ................ ....... ................. .... ................. .................................. ........ ....... ........ ........... .. ..... ...... ox ......... . ................. .. ............. ......... ............... . ............ ..... . ... I:i;:;;;;=....................................-.I. . ..... ....... ..... . .... ............................... .......... ........ ........ ... .. . ..... . .. ......... ........ ............. .... .............. ho ...... .......... }:.::.}:.}::.}:.}:.::}:<.::.;;: .. ...... ............. Service Provider Distance to Service Service Provider Distance to Service IVI,4 .......... ......... ..................... ................ .......................... .... .................... ... .... .... .. .............. ..... ................... .... ........... ............... .... .... ................ ......... ... . .... ............... WO.R.M.00'.10.6;:. ..... . .. ....... ...... .... . .... ..... ....................... ................... Service Provider Distance to Elem Service Provider Distance to Fire School Station j(n 6*7 .......... ........... .. .... ............ .......... ............. ........ ........................................... .......... .... .. ..... .........: :1..:..... .................. .... .. ......... I ................. ... . .. ................. X.............................. . ............. ... ..... .. ................ .. ... ............................. 10 ... .. ...q. a... .. .. .. .......�;.......... ...... Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Z Yes 0 No Yes 0 NoX Yes 0 No 0 Yes 0 No[I ...................... ....... ................................ ................ ............................... .............................. ............ ................ .......... T 000":flo"K ......................... ........ Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 -3-